基于量化评估策略下护理干预在MHD中的应用

Application of Nursing Intervention with MHD Based on Strategy of Quantitative Evaluation for Patients

目的:探究基于量化评估策略下护理干预对维持性血液透析(maintenance hemodialysis,MHD)患者中的应用价值。方法:绍兴人民医院242例MHD患者为研究对象,随机分为两组,各121例。对照组进行常规护理干预,观察组进行基于量化评估策略下护理干预。结果:观察组临床瘙痒症状积分显著低于对照组,有效率93.39%明显高于对照组81.82%(t/X^2=12.170,7.458,P<0.05);生活质量评分明显高于对照组(t=5.772-10.870,P<0.05),护理总满意度95.87%明显高于对照组89.26%(X^2=3.841,P<0.05)。结论:基于量化评估策略下的护理干预能显著改善MHD患者临床瘙痒症状,提高生活质量及满意度。

Objective： To explore the application of nursing intervention for patients with MHD based on strategy of quantitative evaluation. Methods： 242 cases of patients with MHD in our hospital were selected as study objects, randomly divided into two groups, each for 121 cases. The control group was treated by routine nursing intervention, and the observation group was treated by nursing intervention based on strategy of quantitative evaluation. Results： The clinical itching symptoms score of the observation group was significantly lower than that of the control group, the effective rate （93.39%） was significantly higher than that of the control group （81.82%） （t/χ^2=12.170, 7.458, P〈0.05）, life quality scores were significantly higher than those of the control group （t=5.772- 10.870,P〈0.05）, the total nursing satisfaction rate（95.87%） was significantly higher than control group （89.26%） （χ^2=3.841, P〈0.05）. Conclusion： The nursing intervention based on strategy of quantitative evaluation can significantly improve the symptoms of skin itching of patients with maintenance hemodialysis and enhance life quality and satisfaction,